CARLA J BOUCHARD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043074843

License Status

NOT RENEWED

Business

First Name

CARLA J

Last Name

BOUCHARD

Business Name

CARLA J BOUCHARD

Original Issue Date

12/28/1993

Effective Date

12/27/2010

Expiration Date

01/31/2013

City

BLUE SPRINGS

State

Zip

64014

Ever Disciplined

LastModifiedDate

03/20/2013